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General NPI Number Information
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NPI Number | 1730849332
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Entity Type | Organization
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Legal Business Name | 888 DENTAL P.C.
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Dates
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Enumeration Date | 12/22/2021
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 13614 NORTHERN BLVD STE A
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City | FLUSHING
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State | NY
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Zip | 11354-6511
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Country | US
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Telephone | 718-445-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 11714 85TH AVE APT B1
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City | RICHMOND HILL
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State | NY
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Zip | 11418-1816
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Country | US
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Telephone | 917-513-6431
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ROMAN ARONOV
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Credential | DDS
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Telephone | 917-513-6431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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